# MedicationRequest (HDR) - HL7 Europe Hospital Discharge Report v1.0.0-alpha

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **MedicationRequest (HDR)**

## Resource Profile: MedicationRequest (HDR) 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.eu/fhir/hdr/StructureDefinition/medicationRequest-eu-hdr | *Version*:1.0.0-alpha | |
| * Standards status: *[Draft](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 1 | *Computable Name*:MedicationRequestEuHdr |
| **Copyright/Legal**: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | | |

 
This profile constrains the MedicationRequest resource for the purpose of this guide, adapted from the MPD work. 

**Usages:**

* Derived from this Profile: [MedicationRequest: obligations](StructureDefinition-medicationRequest-obl-eu-hdr.md)
* Use this Profile: [Bundle (HDR)](StructureDefinition-bundle-eu-hdr.md)
* Refer to this Profile: [Composition (HDR)](StructureDefinition-composition-eu-hdr.md) and [MedicationDispense (HDR)](StructureDefinition-medicationDispense-eu-hdr.md)
* Examples for this Profile: [MedicationRequest/400C-prescription-cefuroxime-singleline](MedicationRequest-400C-prescription-cefuroxime-singleline.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.eu.hdr|current/StructureDefinition/medicationRequest-eu-hdr)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-medicationRequest-eu-hdr.csv), [Excel](StructureDefinition-medicationRequest-eu-hdr.xlsx), [Schematron](StructureDefinition-medicationRequest-eu-hdr.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "medicationRequest-eu-hdr",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft"
  }],
  "url" : "http://hl7.eu/fhir/hdr/StructureDefinition/medicationRequest-eu-hdr",
  "version" : "1.0.0-alpha",
  "name" : "MedicationRequestEuHdr",
  "title" : "MedicationRequest (HDR)",
  "status" : "draft",
  "date" : "2026-04-17T16:11:24+00:00",
  "publisher" : "HL7 Europe",
  "contact" : [{
    "name" : "HL7 Europe",
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.eu"
    }]
  }],
  "description" : "This profile constrains the MedicationRequest resource for the purpose of this guide, adapted from the MPD work.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "150",
      "display" : "Europe"
    }]
  }],
  "copyright" : "Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "script10.6",
    "uri" : "http://ncpdp.org/SCRIPT10_6",
    "name" : "Mapping to NCPDP SCRIPT 10.6"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationRequest",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "MedicationRequest.extension",
      "path" : "MedicationRequest.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "MedicationRequest.extension:effectiveDosePeriod",
      "path" : "MedicationRequest.extension",
      "sliceName" : "effectiveDosePeriod",
      "short" : "Period over which the medication should be taken.",
      "definition" : "Period over which the medication should be taken. Where there are multiple dosageInstruction lines (for example, tapering doses), this is the earliest date and the latest end date of the dosageInstructions.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod"]
      }]
    },
    {
      "id" : "MedicationRequest.identifier",
      "path" : "MedicationRequest.identifier",
      "short" : "Prescription/prescribed item ID",
      "comment" : "It is the prescription ID if the presciption includes only one prescribed item"
    },
    {
      "id" : "MedicationRequest.status",
      "path" : "MedicationRequest.status",
      "short" : "Current state of the order"
    },
    {
      "id" : "MedicationRequest.medication[x]",
      "path" : "MedicationRequest.medication[x]",
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.eu/fhir/hdr/StructureDefinition/medication-eu-hdr"]
      }]
    },
    {
      "id" : "MedicationRequest.subject",
      "path" : "MedicationRequest.subject",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"]
      }]
    },
    {
      "id" : "MedicationRequest.authoredOn",
      "path" : "MedicationRequest.authoredOn",
      "min" : 1
    },
    {
      "id" : "MedicationRequest.requester",
      "path" : "MedicationRequest.requester",
      "min" : 1
    },
    {
      "id" : "MedicationRequest.reasonCode",
      "path" : "MedicationRequest.reasonCode",
      "short" : "Reason or indication for this prescription"
    },
    {
      "id" : "MedicationRequest.reasonReference",
      "path" : "MedicationRequest.reasonReference",
      "short" : "Condition or observation that supports this prescription"
    },
    {
      "id" : "MedicationRequest.groupIdentifier",
      "path" : "MedicationRequest.groupIdentifier",
      "short" : "Prescription this is part of. Not needed if a presciption includes only one prescribed item."
    },
    {
      "id" : "MedicationRequest.dosageInstruction",
      "path" : "MedicationRequest.dosageInstruction",
      "short" : "How the medication should be taken."
    },
    {
      "id" : "MedicationRequest.dosageInstruction.text",
      "path" : "MedicationRequest.dosageInstruction.text",
      "short" : "Free text dosage instructions"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing",
      "path" : "MedicationRequest.dosageInstruction.timing",
      "short" : "Administration schedule"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing.repeat.duration",
      "path" : "MedicationRequest.dosageInstruction.timing.repeat.duration",
      "short" : "Duration of the treatment"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing.repeat.frequency",
      "path" : "MedicationRequest.dosageInstruction.timing.repeat.frequency",
      "short" : "Frequency times per period"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing.repeat.period",
      "path" : "MedicationRequest.dosageInstruction.timing.repeat.period",
      "short" : "Duration of time over which repetitions are to occur"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing.repeat.periodUnit",
      "path" : "MedicationRequest.dosageInstruction.timing.repeat.periodUnit",
      "short" : "Unit of the period (e.g. day)"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing.code",
      "path" : "MedicationRequest.dosageInstruction.timing.code",
      "short" : "A code for the timing schedule."
    },
    {
      "id" : "MedicationRequest.dosageInstruction.route",
      "path" : "MedicationRequest.dosageInstruction.route",
      "short" : "Route of administration"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
      "path" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity",
      "path" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
      "sliceName" : "doseQuantity",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }]
    },
    {
      "id" : "MedicationRequest.dispenseRequest.extension",
      "path" : "MedicationRequest.dispenseRequest.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "MedicationRequest.dispenseRequest.extension:prescribedQuantity",
      "path" : "MedicationRequest.dispenseRequest.extension",
      "sliceName" : "prescribedQuantity",
      "short" : "Overall amount of product prescribed, independent from the number of repeats.",
      "definition" : "When Medication resource implies a pack size, prescribedQuantity should convey number of packages. When the Medication does not imply an amount, overall amount could be in tablets or millilitres.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity"]
      }]
    }]
  }
}

```
